      	<form id='form_step7' method='post' action='<?php echo site_url("create_account/save/7")?>' onsubmit="return Send('#form_step7');" >
			<table id="form7_container1_tbl" cellspacing='0' cellpadding='0' width="100%">
			    <tr><td colspan='2'>
			    	<div class='lbackground'></div>
					<div class='header_center'>
					    Provide Identification and Citizenship Information for Joint Account Holder:
						<div class='rbackground'></div>
					</div>
			    </td></tr>
			    <tr><td width='185'>
				    <label id='jointBirthDayLbl' for='jointBirthDay'>Date of Birth:*</label>
			    </td><td>
				    <select id='jointBirthDay' name='jointBirthDay'>
					  <option value=''>DD</option>
					  <?php for($day = 1; $day <= 31; $day++){?>
					  <option value='<?php print $day; ?>'><?php print $day; ?></option>
					  <?php }?>
				    </select>
				    /
				    <select id='jointBirthMonth' name='jointBirthMonth'>
					  <option value=''>MM</option>
					  <?php for($mon = 1; $mon <= 12; $mon++){?>
					  <option value='<?php print $mon; ?>'><?php print $mon; ?></option>
					  <?php }?>
				    </select>
				    /
				    <select id='jointBirthYear' name='jointBirthYear'>
					  <option value=''>YYYY</option>
					  <?php for($y = 1901; $y <= 1996; $y++){?>
					  <option value='<?php print $y; ?>'><?php print $y; ?></option>
					  <?php }?>
				    </select>
				    (DD/MM/YYYY)
			      </td></tr>
			      <tr><td colspan='2'>
				  <table id="form7_container2_tbl" cellpadding='0' cellspacing='0'  width="100%">
					<tr><td width='150'>
						  <label for='jointCitizenship' id='jointCitizenshipLbl'>Country Of Citizenship:*</label>
					</td><td>
						  <select id='jointCitizenship' name='jointCitizenship'>
						      <option value=''>Select One</option>
						      <option value=''>------------</option>
						      <?php foreach($countries as $item){?>
						      <option value='<?php print $item->ID; ?>'><?php print $item->NAME; ?></option>

						      <?php }?>
						  </select>
					</td></tr>

					<tr><td>
					      <label for='jointIssuingCountry' id='jointIssuingCountryLbl' class='issCountryHide'>Issuing Country of ID:</label>
					</td><td>
					      <div id='issCountryContainer' class='issCountryHide'>
						  <input type='hidden' id='issCountryHtml' rel='<?php print $jointCurrent_countryID; ?>' value='<?php print $jointCurrent_country; ?>'></input>
						  <select id='jointIssuingCountry' name='jointIssuingCountry'>
						  </select>
					      </div>
					</td></tr>

					<tr><td style='vertical-align:top'>
					      <label for='jointPassNumber' id='jointPassNumberLbl' class='passNumberHide'>Passport ID No.:</label>
					</td><td>
					      <div class='passNumberHide'>
						  <input type='text' id='jointPassNumber' name='jointPassNumber' size='40'  maxlength="40"></input>
						  <div id='msg_grey' class='msg' disabled='disabled'>
							*Please provide the number located at the bottom of your passport. The number should contain alphanumeric characters and “<” as the filler character. For example: 013456781FRC0000000M0101222A123456<<12
						  </div>
					      </div>
					</td></tr>

					<tr><td>
						<label for='jointExpiryDay' id='jointExpiryDateLbl' class='passNumberHide'>Date Of Expiry:</label>
					</td><td>
					      <div class='passNumberHide'>
						    <select id='jointExpiryDay' name='jointExpiryDay'>
							<option value=''>DD</option>
							<?php for($day = 1; $day <= 31; $day++){?>
							<option value='<?php print $day; ?>'><?php print $day; ?></option>
							<?php }?>
						    </select>
						    /
						    <select id='jointExpiryMonth' name='jointExpiryMonth'>
							<option value=''>MM</option>
							<?php for($mon = 1; $mon <= 12; $mon++){?>
							<option value='<?php print $mon; ?>'><?php print $mon; ?></option>
							<?php }?>
						    </select>
						    /
						    <select id='jointExpiryYear' name='jointExpiryYear'>
							<option value=''>YYYY</option>
							<?php for($y = 2011; $y <= 2025; $y++){?>
							<option value='<?php print $y; ?>'><?php print $y; ?></option>
							<?php }?>
						    </select>
						    (DD/MM/YYYY)
					      </div>
					</td></tr>
				  </table>
			      </td></tr>
			</table>

			<div class='msg'>
			      An identification type is not mandatory, but may help us to verify your identity more quickly and so speed up the processing of your application.
			</div>

			<div id='submit_section' style='text-align:center;'>
			      <input type='submit' value='Save & Continue' title='Save the form and continue to the next step'/>
			</div>
		</form>